Doctor Name: | PENNY WHETZLER |
NPI Number: | 1538394259 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2705103055 |
Business Practice Address: | 8711 Alsop Town Rd Spotsylvania, VA - 225513335 |
Business Phone Number: | 5405827420 |
Business Fax Number: | |
Mailing Address: | 8711 Alsop Town Rd, SPOTSYLVANIA |
State: | VA |
Postal Code: | 225513335 |
Phone Number: | 5405827420 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2009 |
NPI Last Update Date: | 05/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WH0202X |
License Number: | 2705103055 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Home Modifications |
Taxonomy Definition: |